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Individual

SHAIVALKUMAR S. PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
2268 N SHORE DR, RHINELANDER, WI 54501-8888
(715) 420-1400
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7117
WI
122300000X
Dentist
DEN4255
ME
1223D0001X
Public Health Dentistry
7117
WI

Other

Enumeration date
05/22/2012
Last updated
09/18/2013
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